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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think GPs shouldn’t charge for these letters?

265 replies

Lostare · 31/08/2025 09:10

Flying soon (cheap flights and staying with family). I take injectable medication bi-weekly an autoimmune condition. I will be due to take this when I’m away.
I asked my GP for a letter confirming it’s prescribed medication so I can take it through the airport and they’ve requested £55 to give me this.
AIBU to think this is a ridiculous amount? I’m now stuck between not paying it and leaving my medicine at home, risking my condition flaring up, vs paying it and losing half my budget for my holiday!
is this a usual amount?

OP posts:
SouthWamses · 31/08/2025 14:09

C8H10N4O2 · 31/08/2025 14:07

No its not justifiable to charge patients or use staff time for something which every normal business automated decades ago.

A great deal of staff time and tax payer money is wasted doing manual, low level tasks which any business having to actually justify its costs automated long since. But rather than update its easier to make excuses and charge patients for more and more service elements whilst using the tag “free at the point of care”.

Try telling you solicitor or accountant that they can’t charge for letters.

Ginburee · 31/08/2025 14:08

RosesAndHellebores · 31/08/2025 14:05

They cause a lot of their own workload though with ludicrous bureaucracy. 28/56 day prescribing is an example.

I disagree, if a patient requests a letter it can be a real pain and can be time consuming.
As someone who has a lot of these requests I know.

C8H10N4O2 · 31/08/2025 14:07

Ginburee · 31/08/2025 14:02

I am sorry but with the massive workload that the NHS has letters can be a lot of extra work so a payment is justifiable.

No its not justifiable to charge patients or use staff time for something which every normal business automated decades ago.

A great deal of staff time and tax payer money is wasted doing manual, low level tasks which any business having to actually justify its costs automated long since. But rather than update its easier to make excuses and charge patients for more and more service elements whilst using the tag “free at the point of care”.

MeridaBrave · 31/08/2025 14:06

I don’t think you need the letter just take evidence eg copy of prescription, or screenshot wherever it comes from / whoever prescribes it. You can get small ice packs under 100ml.

SaladAndChipsForTea · 31/08/2025 14:05

GPs are a business.

If they weren't charging you, they'd be charging the NHS.

You aren't required to have a holiday abroad. Taxpayers dont need to fund it.

Its just part of the cost of the holiday.

RosesAndHellebores · 31/08/2025 14:05

Ginburee · 31/08/2025 14:02

I am sorry but with the massive workload that the NHS has letters can be a lot of extra work so a payment is justifiable.

They cause a lot of their own workload though with ludicrous bureaucracy. 28/56 day prescribing is an example.

MrsAvocet · 31/08/2025 14:05

Our GP surgery has just announced that they are cutting down on the services they provide. For example if you need follow up blood tests after hospital care they will now have to be done at the hospital. They are trying to free up more time so that people are not waiting so long for appointments. Certainly where I live there is a severe shortage of GPs and I can't imagine that writing letters not covered by their NHS contract is high on their list of priorities. And why should they work for nothing? Work not covered by the NHS is private work so of course it has to be paid for. Nobody would expect, say, a solicitor or accountant to write a letter for them for free would they? And compared to what I paid the last time I asked a solicitor for a letter I'd say £55 is a bargain.
I'm not saying GPs are perfect - we've had our fair share of issues with ours - but they are professional people working in difficult circumstances currently and I don't expect them to work for free any more than I'd expect anyone else to.

Ginburee · 31/08/2025 14:02

I am sorry but with the massive workload that the NHS has letters can be a lot of extra work so a payment is justifiable.

helibirdcomp · 31/08/2025 14:02

Can you contact or login to external company who supplies and print details from there

RosesAndHellebores · 31/08/2025 13:59

I had an injectable for my osteoporosis. It was outlined in my consultant's letter to my GP. Wouldn't a copy of that suffice?

I've no issue with paying a GP to write a letter and £55 wouldn’t phase me. I do, however, think that when one purchases a private service from the GP, the standard of provision needs to meet private expectations.

MzHz · 31/08/2025 13:57

C8H10N4O2 · 31/08/2025 12:05

If its busy manually producing form letters then its because of a failure of the NHS to modernise. Any large organisation and many SMEs have all this stuff automated and in an organisation with the procurement power of the NHS there is no excuse for wasting time and money on antiquated processes.

True. Why do I get a letter in the post telling me my appointment for the mammogram? I have text alerts, nhs app and surgery can call/email me.

the nhs is a millstone around our necks because of the stupidity of those responsible for it. It needs to be radically reorganised and yesterday

SouthWamses · 31/08/2025 13:53

You know GPs are private businesses? If you asked a solicitor to write a letter it would cost a lot more? Or do you think the NHS should be paying to facilitate your holiday?

Roosch · 31/08/2025 13:40

YABU - the GP did not prescribe this medication and it’s not NHS work. I think it’s outrageous that people expect GPs to be at their beck and call for free. £55 for a letter is reasonable.

Are you saying your entire holiday budget is £110?

Isobel201 · 31/08/2025 13:39

popcornandpotatoes · 31/08/2025 12:45

I started a biologic bi weekly injection this year and I've never had a prescription for it and it's not listed anywhere. I guess the link to the private delivery company skips this step.

My clinic has it's own employed pharmacist who managed the mailbox so if I needed this I would contact her first

You're right, the NHS app doesn't show my injections I have from the rheumatology department, the company who provides the injections only know what I have from there.

caringcarer · 31/08/2025 13:39

Octavia64 · 31/08/2025 09:21

You don’t need a letter from the doctor.

you can carry either a printout from the nhs app or I usually carry my repeat slip.

it’s not nhs work so yes there is a charge.

This. GP's are busy people. It's hard enough trying to get an appointment. If GP's spend time writing letters for TUI less time to see patients. It is reasonable for a charge to be made.

FKAT · 31/08/2025 13:34

This discussion has shown people don't have an understanding of the NHS and the fact that the 'NHS' doesn't exist - it's a hodge podge of private suppliers, trusts, departments, bodies, consultants and GP businesses. There isn't one central computer system where the receptionist can just press print and hey presto a tailored letter pops out. When the government proposes that people get outraged (because it would involve sharing medical data across lots of private and public organisations). The OPs GP doesn't prescribe this, a consultant does, there's no NHS app record for whatever reason and it's delivered by a private business.

This is why it costs £55 and it's reasonable for the GP to charge it. It's not an essential funded service and most of us would object in the strongest terms to our health service providing holiday admin - £55 wouldn't pay to park your car for a weekend at an airport. It's a drop in the ocean compared to the average cost of a holiday.

The balkanisation of our health service is the worst output of the PPI model and it would be much cheaper to supply a letter if we had one central NHS that managed GP services but it still should not be free.

DressOrSkirt · 31/08/2025 13:33

LilacRos · 31/08/2025 13:25

Not necessarily. I have an injectable drug for rheumatoid arthritis. It's not prescribed by the GP I get supplies from the hospital and you don't get a copy of the prescription. Nor does it show up on the NHS app.
I think it's the fact it's a needle rather than the content of the drug. My rheumatology nurse will arrange for a letter free.
Tbh I'm happy to pay as I don't expect the NHS to pay for everything.
If you can't get your consultant OP just ask their secretary.

Edited

I do don't automatically get a copy of my prescription but if I ask for it they can print it.

Funnywonder · 31/08/2025 13:32

Lostare · 31/08/2025 10:05

I imagine judging by most comments on here that most people do get a prescription with their medication so it’s quite unusual to be on one like this. I have prescription letters for the other 3 medications I take daily and they’re on my nhs app, so I can easily provide those. So no I don’t think it’s a case of needing to provide one for everyone and it taking so much of their time.
As a side note, I do think there should be some sort of record somewhere accessible by me that states that I’m injecting myself every 2 weeks with something medical professionals have told me I need, anyway.
Thanks for the helpful comments! Will contact healthcare homenet who deliver for me.

Just looking at my son’s app for keeping track of his Amgevita syringes, it only ever says his prescription is ready, but there’s no copy of the prescription itself. It would be so handy to have this. Might just leave some feedback about it, as we’re in the same boat as you, having no evidence of his prescription anywhere, written or digital.

Edited to add there is no pharmacy sticker on it either.

DressOrSkirt · 31/08/2025 13:32

CagneyNYPD1 · 31/08/2025 09:16

I’m a bit confused. Are you sure you need a letter? I have a prescription for an injectable medication. I kept it all in its box with the pharmacy sticker on the box. And a copy of the prescription as proof. I flew in and out of Heathrow, Germany and Italy this summer with no problems.

Is your medication a controlled substance or over 100ml?

This is what I do too and mine's a controlled substance.

LilacRos · 31/08/2025 13:25

MonsterMunched · 31/08/2025 09:27

If it’s prescribed you must have a prescription? Unless it’s a private prescription? Is it weight loss medication? Insulin, B12 etc would be on your nhs notes.

Not necessarily. I have an injectable drug for rheumatoid arthritis. It's not prescribed by the GP I get supplies from the hospital and you don't get a copy of the prescription. Nor does it show up on the NHS app.
I think it's the fact it's a needle rather than the content of the drug. My rheumatology nurse will arrange for a letter free.
Tbh I'm happy to pay as I don't expect the NHS to pay for everything.
If you can't get your consultant OP just ask their secretary.

rainbowunicorn · 31/08/2025 13:21

RosesAndHellebores · 31/08/2025 12:36

A lawyer or solicitor doesn't receive state funding for providing a service free at the point of delivery so thisi is not a good comparison.

It's a very good comparison, you couldnt actually get a much better comparison to be honest. Many lawyers will provide legal aid work which is funded by the government alongside their private work. This is done to a strict criteria. Anything that does not come under legal aid will not qualify for legal aid funding. Private work will be charged according. Our lawyer charges in 5 minute blocks and all postage is detailed on their invoice on top of this. The hourly rate is for their expertise not for buying stamps.

Namerequired · 31/08/2025 13:18

I take a biological treatment injection every 4 weeks that’s delivered every few months. It’s prescribed by my consultant not my gp. But it’s still on my list of prescribed meds. Ask your doctors receptionist to print you out a list of your current medications. It should be free. I wasn’t actually asked for it but had it in case.
But I agree they shouldn’t charge £55 or the airlines shouldn’t require it.

eatreadsleeprepeat · 31/08/2025 13:14

I do sympathise with the situation you are in but think you are blaming the wrong service. You should have a record of everything you are prescribed but this should be for the prescriber to supply so the consultant or hospital department not the GP. It also highlights a problem that if this isn’t in your record and you are admitted as an emergency whoever deals with you won’t have complete information. Do you have time before you travel to email the department and point out that nothing on your records shows this and ask for that to be rectified and you given a note if this will not show on your NHS app in time?
Hope you can get it sorted in time, the stress will not be helping your condition.

rainbowunicorn · 31/08/2025 13:10

Lostare · 31/08/2025 12:00

Some people really hate ill people, I didn’t choose it you know. And I pay enough tax to realise that my care is most certainly not free.
When I get any other medication, even my pill which I’m not charged for, I get a prescription note with it, it shows on my app. This tells me it’s not £55 every time the GP sends a prescription note out, so why they want to charge that much for this is baffling.
I have asked the company who delivers it if they can help.
I’ve also worked in public services long enough to know I could just make a SAR, and it would take the GP far longer and they have to provide it for free. I’m not petty so I won’t, but it just highlights the stupidity of the system.

Because they are doing that in NHS time which they are contracted to do and are obligated to provide certain things.
Tbey are not obligated to write letters for something that they have no part of so they charge accordingly. They will have a private hourly rate and probably charge at 15 minute blocks so if it takes 5 minutes then you pay for 1 block, if it takes 17 minutes you pay for 2 blocks. That is how private business operates.
Nobody here has said they hate ill people or even given any slight indication that is the case. They just recognise that the NHS can only give so much. It's not as if your only option to get the information is via your GP. If that was the case you would be right to be angry about it but thats not the case as several people have already told you. Either contact your consultants secretary or contact the company that delivers it to you.

EmeraldShamrock000 · 31/08/2025 13:09

I doubt you will need a letter.
£55 is hefty, a charge of £20 maybe.

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